Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATELYNN BURGARDT PA-C
NPI 1174214613
Physician Assistant in Minneapolis, MN

Q: What is Katelynn Burgardt's NPI number?

The NPI number for Katelynn Burgardt is 1174214613. It was assigned to this individual provider in the NPPES registry on May 16, 2023. The provider is also known as Kate Burgardt Pa-C.

Q: What is Katelynn Burgardt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelynn Burgardt was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2023PECOS Enrolled

2301 CENTRAL AVE NE, MINNEAPOLIS, MN 55418(612) 588-9411 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2026, May 16, 2023 (2 updates tracked since 2023).

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About Katelynn Burgardt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYNN BURGARDT PA-C (NPI 1174214613) is an individual physician assistant in Minneapolis, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174214613

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYNN BURGARDTCredential: PA-C

Location Address2301 CENTRAL AVE NEMinneapolis, MN 55418-3709

Mailing Address307 W 15th St Apt 15Minneapolis, MN 55403-2272

Phone(612) 588-9411

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 16, 2023

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1174214613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2301 CENTRAL AVE NE, Minneapolis, MN 55418

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Other Names 1

Other Name (5)Kate Burgardt Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelynn Burgardt Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557825064

PECOS Enrollment IDI20260715001176

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIEUDONNE ACHUNCHE ASAMBANG LADC

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